Right Thoracoabdominal Approach for Retrocardiac Paraganglioma Resection.

Publisher: published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute Country of Publication: United States NLM ID: 8214622 Publication Model: eCollection Cited Medium: Internet ISSN: 1526-6702 (Electronic) Linking ISSN: 07302347 NLM ISO Abbreviation: Tex Heart Inst J Subsets: MEDLINE

Original Publication: Houston, TX : published in the Cardiovascular Surgical Research Laboratories, Texas Heart Institute, c1982-

Thoracic Surgery, Video-Assisted* ; Thoracotomy*; Mediastinal Neoplasms/*surgery ; Paraganglioma, Extra-Adrenal/*surgery ; Pericardium/*surgery; Arterial Pressure ; Female ; Humans ; Hypertension/diagnosis ; Hypertension/etiology ; Hypertension/physiopathology ; Mediastinal Neoplasms/complications ; Mediastinal Neoplasms/diagnostic imaging ; Mediastinal Neoplasms/pathology ; Paraganglioma, Extra-Adrenal/chemistry ; Paraganglioma, Extra-Adrenal/diagnostic imaging ; Paraganglioma, Extra-Adrenal/pathology ; Pericardium/diagnostic imaging ; Pericardium/pathology ; Positron Emission Tomography Computed Tomography ; Treatment Outcome ; Whole Body Imaging ; Young Adult

Paragangliomas are rare extra-adrenal tumors of sympathetic or parasympathetic paraganglia origin; of these, mediastinal paragangliomas are 2% of all cases. We present the case of a 21-year-old woman with uncontrolled arterial hypertension who had a functioning 6.5 × 6.2-cm retrocardiac paraganglioma firmly attached to the pericardium. The patient underwent tumor resection via a right thoracoabdominal incision; this surgical approach enabled adequate exposure for complete resection without institution of cardiopulmonary bypass or need for cardiac reconstruction or autotransplantation. Ten months postoperatively, the patient was doing well and was no longer hypertensive.

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Keywords: Cardiac surgical procedures/methods; diagnostic imaging; heart neoplasms/surgery; hypertension/etiology; mediastinal neoplasms/diagnosis; paraganglioma, extra-adrenal/pathology/radiography/surgery; treatment outcome; vascular neoplasms/surgery

Date Created: 20170308 Date Completed: 20171016 Latest Revision: 20220410

20240829

PMC5317363

10.14503/THIJ-15-5561

28265216